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A 31-year-old female asked:

Ent did not find anything wrong with ears- now being referred to dentist- my vertigo is worse in the morning; could this all be from tmj. ?

4 doctor answers8 doctors weighed in
Dr. Sean Drower
25 years experience
Maybe….: Temporomandibular disorder (tmd) could cause ringing of the ears, usually just one side, and dizziness. An occlusal evaluation by your dentist can determine if the jaw, teeth , and chewing muscles are all in harmony. A well made occlusal splint worn at night and during daytime when symptomatic should help if the cause is tmd.
Dr. Dave Burns
A Verified Doctor commented
A US doctor answered Learn more
I would distract the joint for 6-8 weeks and monitor how you are doing. If symptoms improve continue with treatment for at least 7 months before doing anything else. Good luck. The distraction is done with a removable plastic template so the procedure is reversible and not invasive. Be sure to have a good diagnosis before treatment.
Nov 21, 2013
Dr. Marshall Dicker
Dentistry 47 years experience
Vertigo: If the ENT passed you as far as the ears go yes.....The problem could be TMJ related. The tm joint is directly in front of the ear a night time clencher/grinder patient can put alot of pressure on the general hearing system and could throw off your balance. See a periodontist asap for an evaluation it sounds like you need a nightguard to wear when u are sleeping.....Lower nightguard only pls.
Dr. Jeffrey Bassman
Dentistry 46 years experience
TMJ/TMD: You may have elements of tmj. Other symptoms are important to know for potential evaluation. Think about being referred to a TMJ specialist to rule out the cause. Have you been to an ENT specialsit.
Dr. Louis Gallia
Surgery - Oral & Maxillofacial 46 years experience
Depends: Depends. "Vertigo" from TMJ is more an imbalance. Never "spinning". If you have imbalance, along with other TMJ symptoms. see TMJ specialist (not your dentist). If "spinning" is part of the "vertigo", it could be your brain. Get a neurological evaluation. Another option would be to see an otologist - an ENT specialist with fellowship in ear - only does ears. Good luck.
Dr. Edwin Ishoo
A Verified Doctor commented
A US doctor answered Learn more
TMJ does not cause Vertigo or imbalance. If there is intermittent or positional vertigo, it is likely due to a vestibulopathy.
Mar 24, 2015
Last updated Jul 10, 2015


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